REPUBLIC BRAIN SPINE AND ORTHOPEDIC NPI 1558088682

NPI Information

  • NPI: 1558088682
  • Provider Name: REPUBLIC BRAIN SPINE AND ORTHOPEDIC
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Organization
  • Address: 2291 PACHECO ST
    CONCORD, CA
    ZIP 94520
  • Phone: (925) 397-9480

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NPI Details

REPUBLIC BRAIN SPINE AND ORTHOPEDIC is an orthopaedic surgery in Concord, CA. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. REPUBLIC BRAIN SPINE AND ORTHOPEDIC NPI is 1558088682. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2291 PACHECO ST
CONCORD, CA
ZIP 94520-015
Phone: (925) 397-9480

The provider's authorized official is Seth Jacknowitz .
The authorized official title is Cro and has the following contact phone number (561) 699-7479.

The enumeration date for this NPI number is 10/19/2022 and was last updated on 10/19/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryYes

What is NPI?

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This page was last updated on: 3/30/2025

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